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Time Course of Attentional Biases Toward Body Shapes in Women Who Are Overweight or Obese

  • Zhenyong Lyu
  • Panpan Zheng
  • Zhan Wang
Original Article
  • 37 Downloads

Abstract

Although attentional bias toward body-related stimuli has been implicated as a vulnerability factor for body image disturbances, the time course of attentional biases toward body shapes in women who are overweight or obese is not clear. Using a dot-probe task and a between-subjects design, we assessed attentional biases (including facilitated attention, delayed disengagement, and avoidance) toward fat and thin body images in women who were overweight or obese (body mass index, BMI ≥ 25 kg/m2; n = 25) and normal-weight controls (BMI < 25 kg/m2; n = 25). Three stimulus presentation times were used: 100 ms, 500 ms, and 2000 ms. Women who were overweight or obese reported a stronger relative preference for Thin over Neutral images. All participants showed attentional bias toward thin body images in the initial orientation (100 ms) and later avoidance (2000 ms) stage, whereas only the women who were overweight or obese showed a bias toward fat body-related images when displayed for 500 ms, indicating difficulty disengaging from fat body-related stimuli. Slower attentional disengagement from fat body stimuli might be a cognitive marker for body image disturbance in women who are overweight or obese.

Keywords

Attentional biases Overweight/obesity Dot-probe task Body-related stimuli 

Notes

Acknowledgements

This study was supported by Chinese National Natural Science Foundation (Grant No: 31800925) and the Nanhu Scholars Program of XYNU and the Humanities and Social Sciences Project for the Education Department of Henan Province (Grant No: 2018-ZDJH-282). The authors would like to thank Ming Xu, Li Ma and Yao Ge for their enthusiasm and invaluable assistance in recruiting and testing the participants of this study. We thank three anonymous reviewers for their thoughtful comments, which helped us to improve this article.

Compliance with Ethical Standards

Conflict of Interest

Zhenyong Lyu, Panpan Zheng and Zhan Wang declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (national and institutional). Informed consent was obtained from all individual participants included in the study.

Animal Rights

No animal studies were carried out by the authors for this article.

References

  1. Allen, J. L., Mason, T. B., Stout, D. M., & Rokke, P. D. (2018). Emotion specific effects on attentional bias among women with shape and weight concerns. Cognitive Therapy and Research, 42:612–621.  https://doi.org/10.1007/s10608-018-9916-7.CrossRefGoogle Scholar
  2. Allen, L., Mulgrew, K. E., Rune, K., & Allen, A. (2018). Attention bias for appearance words can be reduced in women: Results from a single-session attention bias modification task. Journal of Behavior Therapy and Experimental Psychiatry, 61, 97–103.  https://doi.org/10.1016/j.jbtep.2018.06.012.CrossRefPubMedGoogle Scholar
  3. Bamford, B. H., Attoe, C., Mountford, V. A., Morgan, J. F., & Sly, R. (2014). Body checking and avoidance in low weight and weight restored individuals with anorexia nervosa and non-clinical females. Eating Behaviors, 15(1), 5–8.  https://doi.org/10.1016/j.eatbeh.2013.10.011.CrossRefPubMedGoogle Scholar
  4. Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van Ijzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133(1), 1–24.  https://doi.org/10.1037/0033-2909.133.1.1.CrossRefPubMedGoogle Scholar
  5. Canpolat, B. I., Orsel, S., Akdemir, A., & Ozbay, M. H. (2005). The relationship between dieting and body image, body ideal, self-perception, and body mass index in turkish adolescents. International Journal of Eating Disorders, 37(2), 150–155.  https://doi.org/10.1002/eat.20081.CrossRefPubMedGoogle Scholar
  6. Cisler, J. M., & Koster, E. H. W. (2010). Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review. Clinical Psychology Review, 30(2), 203–216.CrossRefGoogle Scholar
  7. Cortese, S., Falissard, B., Pigaiani, Y., Banzato, C., Bogoni, G., Pellegrino, M., et al. (2010). The relationship between body mass index and body size dissatisfaction in young adolescents: Spline function analysis. Journal of the American Dietetic Association, 110(7), 1098–1102.  https://doi.org/10.1016/j.jada.2010.04.001.CrossRefPubMedGoogle Scholar
  8. Deluchi, M., Costa, F. S., Friedman, R., Gonçalves, R., & Bizarro, L. (2017). Attentional bias to unhealthy food in individuals with severe obesity and binge eating. Appetite, 108, 471–476CrossRefGoogle Scholar
  9. Dondzilo, L., Rieger, E., Palermo, R., & Bell, J. (2018). The causal role of selective attention for thin-ideal images on negative affect and rumination. Journal of Behavior Therapy and Experimental Psychiatry, 61, 128–133.  https://doi.org/10.1016/j.jbtep.2018.07.006.CrossRefPubMedGoogle Scholar
  10. Dondzilo, L., Rieger, E., Palermo, R., Byrne, S., & Bell, J. (2017). The mediating role of rumination in the relation between attentional bias towards thin female bodies and eating disorder symptomatology. PLoS ONE, 12(5), e0177870.  https://doi.org/10.1371/journal.pone.0177870.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41(5), 509–528.CrossRefGoogle Scholar
  12. Ferguson, C. J. (2013). In the eye of the beholder: Thin-ideal media affects some, but not most, viewers in a meta-analytic review of body dissatisfaction in women and men. Psychology of Popular Media Culture, 2(1), 20–37.  https://doi.org/10.1037/a0030766.CrossRefGoogle Scholar
  13. Field, M., & Cox, W. M. (2008). Attentional bias in addictive behaviors: A review of its development, causes, and consequences. Drug and Alcohol Dependence, 97(1–2), 1–20.CrossRefGoogle Scholar
  14. Forsyth, M., Rieger, E., & Bell, J. (2018). Inhibition of return regarding body images in women with shape/weight-based self-worth. Journal of Experimental Psychopathology.  https://doi.org/10.1177/2043808718778979.CrossRefGoogle Scholar
  15. Gao, X., Deng, X., Yang, J., Liang, S., Liu, J., & Chen, H. (2014). Eyes on the bodies: An eye tracking study on deployment of visual attention among females with body dissatisfaction. Eating Behaviors, 15(4), 540–549.CrossRefGoogle Scholar
  16. Gao, X., Li, X., Yang, X., Wang, Y., Jackson, T., & Chen, H. (2013). I can’t stop looking at them: Interactive effects of body mass index and weight dissatisfaction on attention towards body shape photographs. Body Image, 10(2), 191–199.CrossRefGoogle Scholar
  17. Gao, X., Wang, Q., Chen, H., Wang, B., & Zhao, G. (2012). Time course of attentional bias components toward body-shape related pictures among women with fat negative physical self: An eye movement study. Acta Psychologica Sinica, 44(4), 498–510.CrossRefGoogle Scholar
  18. Gao, X., Wang, Q., Jackson, T., Zhao, G., Liang, Y., & Chen, H. (2011). Biases in orienting and maintenance of attention among weight dissatisfied women: An eye-movement study. Behaviour Research and Therapy, 49(4), 252–259.  https://doi.org/10.1016/j.brat.2011.01.009.CrossRefPubMedGoogle Scholar
  19. Gardner, R. M., & Morrell, J. A. (1991). Body-size judgments and eye movements associated with looking at body regions in obese and normal weight subjects. Perceptual and Motor Skills, 73(2), 675–682.  https://doi.org/10.2466/pms.1991.73.2.675.CrossRefPubMedGoogle Scholar
  20. Gardner, R. M., Morrell, J. A., Watson, D. N., & Sandoval, S. L. (1990). Eye movements and body size judgments in the obese. International Journal of Eating Disorders, 9(5), 537–544.CrossRefGoogle Scholar
  21. Glauert, R., Rhodes, G., Fink, B., & Grammer, K. (2010). Body dissatisfaction and attentional bias to thin bodies. The International Journal of Eating Disorders, 43(1), 42–49.PubMedGoogle Scholar
  22. Hargreaves, D., & Tiggemann, M. (2002). The effect of television commercials on mood and body bissatisfaction: The role of appearance-schema activation. Journal of Social and Clinical Psychology, 21(3), 287–308.  https://doi.org/10.1521/jscp.21.3.287.22532.CrossRefGoogle Scholar
  23. Jackson, T., & Chen, H. (2015). Features of objectified body consciousness and sociocultural perspectives as risk factors for disordered eating among late-adolescent women and men. Journal of Counseling Psychology, 62(4), 741–752.  https://doi.org/10.1037/cou0000096.CrossRefPubMedGoogle Scholar
  24. Jackson, T., Jiang, C., & Chen, H. (2016a). Associations between Chinese/Asian versus Western mass media influences and body image disturbances of young Chinese women. Body Image, 17, 175–183.CrossRefGoogle Scholar
  25. Jackson, T., Zheng, P., & Chen, H. (2016b). Features of objectified body consciousness and sociocultural perspectives as predictors of eating and body image disturbances among young women and men in China. Journal of Gender Studies, 25(5), 599–612.CrossRefGoogle Scholar
  26. Koster, E. H. W., Crombez, G., Verschuere, B., & De Houwer, J. (2004). Selective attention to threat in the dot probe paradigm: Differentiating vigilance and difficulty to disengage. Behaviour Research and Therapy, 42(10), 1183–1192.  https://doi.org/10.1016/j.brat.2003.08.001.CrossRefPubMedGoogle Scholar
  27. Latner, J. D. (2008). Body checking and avoidance among behavioral weight-loss participants. Body Image, 5(1), 91–98.  https://doi.org/10.1016/j.bodyim.2007.08.001.CrossRefPubMedGoogle Scholar
  28. Lopes, F. M., Pires, A. V., & Bizarro, L. (2014). Attentional bias modification in smokers trying to quit: A longitudinal study about the effects of number of sessions. Journal of Substance Abuse Treatment, 47(1), 50–57.CrossRefGoogle Scholar
  29. Lyu, Z., Zheng, P., & Jackson, T. (2016). Attention disengagement difficulties among average weight women who binge eat. European Eating Disorders Review, 24(4), 286–293.CrossRefGoogle Scholar
  30. Marfell-Jones, M. J., Stewart, A. D., & de Ridder, J. H. (2012). International standards for anthropometric assessment. Wellington: International Society for the Advancement of KinanthropometryGoogle Scholar
  31. McKinley, N. M., & Hyde, J. S. (1996). The Objectified Body Consciousness Scale: Development and validation. Psychology of Women Quarterly, 20(2), 181–215.CrossRefGoogle Scholar
  32. Mogg, K., Bradley, B., Miles, F., & Dixon, R. (2004). Time course of attentional bias for threat scenes: Testing the vigilance-avoidance hypothesis. Cognition and Emotion, 18(5), 689–700.  https://doi.org/10.1080/02699930341000158.CrossRefGoogle Scholar
  33. Mogg, K., Holmes, A., Garner, M., & Bradley, B. P. (2008). Effects of threat cues on attentional shifting, disengagement and response slowing in anxious individuals. Behaviour Research and Therapy, 46(5), 656–667.CrossRefGoogle Scholar
  34. Moussally, J. M., Brosch, T., & Van der Linden, M. (2016). Time course of attentional biases toward body shapes: The impact of body dissatisfaction. Body Image, 19, 159–168.CrossRefGoogle Scholar
  35. Nissen, N. K., & Holm, L. (2015). Literature review: Perceptions and management of body size among normal weight and moderately overweight people. Obesity Reviews, 16(2), 150–160.  https://doi.org/10.1111/obr.12231.CrossRefPubMedGoogle Scholar
  36. Onden-Lim, M., Wu, R., & Grisham, J. R. (2012). Body image concern and selective attention to disgusting and non-self appearance-related stimuli. Body Image, 9(4), 535–538.CrossRefGoogle Scholar
  37. Posner, M. I., & Presti, D. E. (1987). Selective attention and cognitive control. Trends in Neurosciences, 10(1), 13–17.  https://doi.org/10.1016/0166-2236(87)90116-0.CrossRefGoogle Scholar
  38. Qiao, Q., & Nyamdorj, R. (2009). Is the association of type II diabetes with waist circumference or waist-to-hip ratio stronger than that with body mass index? European Journal of Clinical Nutrition, 64, 30.  https://doi.org/10.1038/ejcn.2009.93.CrossRefPubMedGoogle Scholar
  39. Reas, D. L., & Grilo, C. M. (2004). Cognitive-behavioral assessment of body image disturbances. Journal of Psychiatric Practice, 10(5), 314–322.CrossRefGoogle Scholar
  40. Rodgers, R. F., & DuBois, R. H. (2016). Cognitive biases to appearance-related stimuli in body dissatisfaction: A systematic review. Clinical Psychology Review, 46, 1–11.CrossRefGoogle Scholar
  41. Roefs, A., Jansen, A., Moresi, S., Willems, P., van Grootel, S., & van der Borgh, A. (2008). Looking good. BMI, attractiveness bias and visual attention. Appetite, 51(3), 552–555.  https://doi.org/10.1016/j.appet.2008.04.008.CrossRefPubMedGoogle Scholar
  42. Rosen, J. C., Jones, A., Ramirez, E., & Waxman, S. (1996). Body shape questionnaire: Studies of validity and reliability. International Journal of Eating Disorders, 20(3), 315–319.CrossRefGoogle Scholar
  43. Schwartz, M. B., & Brownell, K. D. (2004). Obesity and body image. Body Image, 1(1), 43–56.  https://doi.org/10.1016/S1740-1445(03)00007-X.CrossRefPubMedGoogle Scholar
  44. Sellaro, R., & Colzato, L. S. (2017). High body mass index is associated with impaired cognitive control. Appetite, 113, 301–309CrossRefGoogle Scholar
  45. Shank, L. M., Tanofsky-Kraff, M., Nelson, E. E., Shomaker, L. B., Ranzenhofer, L. M., Hannallah, L. M., et al. (2015). Attentional bias to food cues in youth with loss of control eating. Appetite, 87, 68–75.  https://doi.org/10.1016/j.appet.2014.11.027.CrossRefPubMedGoogle Scholar
  46. Smeets, E., Jansen, A., & Roefs, A. (2011). Bias for the (un)attractive self: On the role of attention in causing body (dis)satisfaction. Health Psychology, 30(3), 360–367.  https://doi.org/10.1037/a0022095.CrossRefPubMedGoogle Scholar
  47. Smith, E., & Rieger, E. (2006). The effect of attentional bias toward shape and weight-related information on body dissatisfaction. International Journal of Eating Disorders, 39(6), 509–515.CrossRefGoogle Scholar
  48. Smith, E., & Rieger, E. (2009). The effect of attentional training on body dissatisfaction and dietary restriction. European Eating Disorders Review, 17(3), 169–176.  https://doi.org/10.1002/erv.921.CrossRefPubMedGoogle Scholar
  49. Sonneville, K. R., Calzo, J. P., Horton, N. J., Haines, J., Austin, S. B., & Field, A. E. (2012). Body satisfaction, weight gain and binge eating among overweight adolescent girls. International Journal of Obesity, 36, 944–949.  https://doi.org/10.1038/ijo.2012.68.CrossRefPubMedGoogle Scholar
  50. Stice, E., Telch, C. F., & Rizvi, S. L. (2000). Development and validation of the eating disorder diagnostic scale: A brief self-report measure of anorexia, bulimia, and binge-eating disorder. Psychological Assessment, 12(2), 123–131.CrossRefGoogle Scholar
  51. Swami, V., Knight, D., Tovée, M. J., Davies, P., & Furnham, A. (2007). Preferences for female body size in Britain and the South Pacific. Body Image, 4(2), 219–223.  https://doi.org/10.1016/j.bodyim.2007.01.002.CrossRefPubMedGoogle Scholar
  52. Tapper, K., Pothos, E. M., & Lawrence, A. D. (2010). Feast your eyes: Hunger and trait reward drive predict attentional bias for food cues. Emotion, 10(6), 949–954.CrossRefGoogle Scholar
  53. Tobin, L. N., Sears, C. R., Zumbusch, A. S., & von Ranson, K. M. (2018). Attention to fat- and thin-related words in body-satisfied and body-dissatisfied women before and after thin model priming. PLoS ONE, 13(2), e0192914.  https://doi.org/10.1371/journal.pone.0192914.CrossRefPubMedPubMedCentralGoogle Scholar
  54. Townshend, J., & Duka, T. (2001). Attentional bias associated with alcohol cues: Differences between heavy and occasional social drinkers. Psychopharmacology, 157(1), 67–74.  https://doi.org/10.1007/s002130100764.CrossRefPubMedGoogle Scholar
  55. Tsai, S. A., Lv, N., Xiao, L., & Ma, J. (2016). Gender differences in weight-related attitudes and behaviors among overweight and obese adults in the United States. American Journal of Men’s Health, 10(5), 389–398.  https://doi.org/10.1177/1557988314567223.CrossRefPubMedGoogle Scholar
  56. Vitousek, K. B., & Hollon, S. D. (1990). The investigation of schematic content and processing in eating disorders. Cognitive Therapy and Research, 14(2), 191–214.CrossRefGoogle Scholar
  57. Warschburger, P., Calvano, C., Richter, E. M., & Engbert, R. (2015). Analysis of attentional bias towards attractive and unattractive body regions among overweight males and females: An eye-movement study. PLoS ONE, 10(10), e0140813.CrossRefGoogle Scholar
  58. Williamson, D. A., White, M. A., York-Crowe, E., & Stewart, T. M. (2004). Cognitive-behavioral theories of eating disorders. Behavior Modification, 28(6), 711–738.CrossRefGoogle Scholar
  59. World Health Organization. (2014). Global status report on noncommunicable diseases. World Health Organization.Google Scholar
  60. World Health Organization. International Association for the Study of Obesity, International Obesity Task Force (2000). Health Communications Sydney Australia. The Asia Pacific Perspective. Redefining obesity and its treatment.Google Scholar
  61. Yamamiya, Y., Cash, T. F., Melnyk, S. E., Posavac, H. D., & Posavac, S. S. (2005). Women’s exposure to thin-and-beautiful media images: Body image effects of media-ideal internalization and impact-reduction interventions. Body Image, 2(1), 74–80.  https://doi.org/10.1016/j.bodyim.2004.11.001.CrossRefPubMedGoogle Scholar

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Authors and Affiliations

  1. 1.School of Education ScienceXinyang Normal UniversityXinyangChina
  2. 2.Key Laboratory of Cognition and PersonalitySouthwest UniversityChongqingChina

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